| NPI | 1366575755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M8626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A49901) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-06-01 |